Teruaki Kodama


Address: 8316 Arlington Blvd, Suite 410, Fairfax, VA 22031-5204

Teruaki Kodama (NPI# 1134176498, PAC ID# 7315928595) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1134176498
PAC ID by PECOS 7315928595
Professional Enrollment ID I20040525000618
Full Name Teruaki Kodama
Address 8316 Arlington Blvd
Suite 410
Fairfax
VA 22031-5204
Gender M
Credential MD
Medical School CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1989
Primary Specialty GENERAL SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490063 INOVA FAIRFAX HOSPITAL

Other Locations

Address Phone Organization
8316 Arlington Blvd, Suite 410, Fairfax, VA 22031-5204

Organization Information

Office Location

Street Address 8316 ARLINGTON BLVD
SUITE 410
City FAIRFAX
State VA
Zip 22031-5204

Physicians in the same location

Name Specialty Organization Address
Bach-duong Dinh Physician Assistant Hema A. Sundaram, M.d.,p.a 8316 Arlington Blvd, Suite 401, Fairfax, VA 22031-5216
Kathleen E Ellison Dermatology Derm Associates LLC 8316 Arlington Blvd, Suite 400, Fairfax, VA 22031-5216
Bradford S Pontz Internal Medicine Novamed Associates PC 8316 Arlington Blvd, Suite 310, Fairfax, VA 22031-5216
Padmaja Kolachana Nephrology Washington Nephrology Associates 8316 Arlington Blvd, Suite 104, Fairfax, VA 22031-5216
Hema Annam Sundaram Dermatology Hema A. Sundaram, M.d.,p.a 8316 Arlington Blvd, Suite 401, Fairfax, VA 22031-5216
Joanne G Crantz Internal Medicine 8316 Arlington Blvd, Suite 615, Fairfax, VA 22031-5204
Abu A Nasrullah Ophthalmology Dulles Eye Associates 8316 Arlington Blvd, Suite 640, Fairfax, VA 22031-5216
Eric Vallone Internal Medicine Novamed Associates PC 8316 Arlington Blvd, Suite 310, Fairfax, VA 22031-5216
Eyad M Abu Hamda Internal Medicine 8316 Arlington Blvd, Suite 310, Fairfax, VA 22031-5216
Todd B Tescher Urology 8316 Arlington Blvd, Suite 414, Fairfax, VA 22031-5216
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Name Specialty Organization Address
Ethan Ellsworth Gramstad Physical Therapy Jackson Clinics Limited Partnership 8550 Lee Hwy 450, Fairfax, VA 22031-1519
Danielle E Bloom Physical Therapy Jackson Clinics Limited Partnership 8550 Lee Hwy 450, Fairfax, VA 22031-1519
Patricia K Towsley Physical Therapy Jackson Clinics Limited Partnership 8550 Lee Hwy 450, Fairfax, VA 22031-1519
Carly Bose Klemen Physical Therapy Jackson Clinics Limited Partnership 8550 Lee Hwy 450, Fairfax, VA 22031-1519
Barbara Semple Physical Therapy Jackson Clinics Limited Partnership 8550 Lee Hwy 450, Fairfax, VA 22031-1519
Madison J Buckley Physical Therapy Jackson Clinics Limited Partnership 8550 Lee Hwy 450, Fairfax, VA 22031-1519
Megan Alexandria Sharo Physical Therapy Jackson Clinics Limited Partnership 8550 Lee Hwy 450, Fairfax, VA 22031-1519
Christopher Millikan Physical Therapy Jackson Clinics Limited Partnership 8550 Lee Hwy 450, Fairfax, VA 22031-1519
Lauren Michelle Goldberg Physical Therapy Jackson Clinics Limited Partnership 8550 Lee Hwy 450, Fairfax, VA 22031-1519
Erin M Mcdonald Physical Therapy Jackson Clinics Limited Partnership 8550 Lee Hwy 450, Fairfax, VA 22031-1519
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Competitor

Search similar physicians

City FAIRFAX
Zip Code 22031
Specialty GENERAL SURGERY
City + Specialty FAIRFAX + GENERAL SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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